NPIMap

Organization Active NPI

Foundations in Recovery, Inc.

  • Substance Abuse Rehabilitation Facility
  • El Centro, CA
National Provider Identifier
1396388377
Registry record updated Oct 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
FOUNDATIONS IN RECOVERY, INC.
Practice address
1687 Southwind Dr
El Centro, CA 92243-4135
Phone
(619) 569-0047
Fax
(619) 334-6251
NPI assigned
Oct 23, 2019
Organization subpart
Yes
Parent organization
FOUNDATIONS IN RECOVERY, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 23, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Deborah Patricia Freeman, LMFT
Title
Executive Director
Phone
(619) 569-0047

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

1687 Southwind Dr
El Centro, CA 92243-4135

Mailing address

558 Skyview St
El Cajon, CA 92020-7357
Phone (619) 569-0047

Other practice location 1

1679 Adams Ave
El Centro, CA 92243-1903
Phone (619) 569-0047 ext. 0000

Other names 1

  • Foundations in Recovery, Inc. - Imperial Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Foundations in Recovery Inc2 organizations share this tax ID, including this one
Part of
Foundations in Recovery Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1679 Adams Ave
El Centro, CA 92243
Phone (619) 569-0047

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1571788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571788800000",
    "number": "1396388377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "558 SKYVIEW ST",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920207357",
            "telephone_number": "619-569-0047",
            "fax_number": "619-334-6251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1687 SOUTHWIND DR",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922434135",
            "telephone_number": "619-569-0047",
            "fax_number": "619-334-6251"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1679 Adams Ave",
            "address_purpose": "LOCATION",
            "city": "El Centro",
            "state": "CA",
            "postal_code": "922431903",
            "country_code": "US",
            "telephone_number": "619-569-0047 x0000",
            "fax_number": "619-334-6251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FOUNDATIONS IN RECOVERY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FOUNDATIONS IN RECOVERY, INC.",
        "enumeration_date": "2019-10-23",
        "last_updated": "2019-10-23",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "PATRICIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "619-569-0047",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foundations in Recovery, Inc. - Imperial",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Centro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.